Individual provider Active NPI

Johnson Tai Wong, MD

  • Internal Medicine Physician
  • Boston, MA
National Provider Identifier
1659362820
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
53165 Issued in MA
Practice address
8 Hawthorne PL
Suite 104
Boston, MA 02114-2335
Phone
(617) 742-5730
Fax
(617) 742-6917
NPI assigned
Nov 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 53165 MA
Internal Medicine Physician 207R00000X 53165 MA Primary

Addresses

Primary practice location

8 Hawthorne PL
Suite 104
Boston, MA 02114-2335

Mailing address

8 Hawthorne PL
Suite 104
Boston, MA 02114-2335
Phone (617) 742-5730

Other identifiers 3

IdentifierTypeStateIssuer
J05499OtherMABCBS MA
3009017MedicaidMA
713318OtherMATUFTS HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040615001039 MA Practitioner - Allergy/Immunology 1355325689 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of California, San Francisco School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allergy and Asthma Associates, P.C.Group PAC ID 7618027996, 2 clinicians

Practice addresses (Care Compare)

1 Washington St
Wellesley, MA 02481-1711

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

8 Hawthorne PL
Boston, MA 02114-2335
Phone (617) 742-5730

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
53165MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
General Hospital Corp Current Accepting new patients
Allergy & Asthma Associates, P.C. Allergy & Immunology CurrentSince Jan 1, 1993 Accepting new patients
The General Hospital Corporation Allergy & Immunology CurrentSince Oct 1, 2006 Accepting new patients
Massachusetts General Physicians Organization Inc Internal Medicine CurrentSince Jul 1, 1986 Accepting new patients

Locations

15 Parkman St
#626
Boston, MA 02114
Phone (617) 726-3764

8 Hawthorne Pl
Ste 104
Boston, MA 02114
Phone (617) 742-5730

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

1 Washington St
Ste 202
Wellesley, MA 02481
Phone (781) 239-3688

110 Winn St
Ste 104
Woburn, MA 01801

Interoperability endpoints

  • Direct secure messaging: wong.johnson.mgh@direct.partners.masshiway.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1659362820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HAWTHORNE PL",
            "address_2": "SUITE 104",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142335",
            "telephone_number": "617-742-5730",
            "fax_number": "617-742-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HAWTHORNE PL",
            "address_2": "SUITE 104",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142335",
            "telephone_number": "617-742-5730",
            "fax_number": "617-742-6917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "JOHNSON",
        "middle_name": "TAI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MA",
            "license": "53165",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "53165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "J05499",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3009017",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "713318",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.